This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Diagnostic and pre-operative services:
• Routine Genetic Testing for Lynch Syndrome

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	226	936	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	91	86
– Performance status (%)	54	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	126	415	15891
ASA grade 1 (%)	5	8	8
ASA grade 2 (%)	56	59	52
ASA grade 3 (%)	23	26	31
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	14	5	7
Data completeness of:
7 Audit items for risk-adjustment (%)	83	92	87

All Patients:	Trust	Network	National
Number of patients in Audit	226	936	28523
Seen by Clinical Nurse Specialist (%)	91	76	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	61	244	7393
Undergoing major resection (%)	92	80	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	126	415	15855
Distant metastases (%)	7	5	7
Urgent or emergency surgery (%)	14	12	20
At least 12 lymph nodes excised (%)	90	91	86
Laparoscopic surgery attempted (%)	86	75	67
Risk-adjusted length of stay > 5 days (%)	41	49	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	101	371	10794
Adjuvant chemotherapy (%)	37	53	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	80	3481
Neoadjuvant therapy (%)	37	45	38
Circumferential resection margin: Recorded (%)	85	95	89
Circumferential resection margin: Negative (%)	81	85	82
Rectal volume	31	88	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	186	695	19595
APER/Hartmanns (%)	49	45	36